Table 4.
Clinical characteristics of BP cases associated with IL-12/IL-23, IL-23, or IL-17 inhibitors.
Ref | Age/sex | Primary diagnosis | Past history | Biologics | The total dose (mg) | Time tobulla (weeks) | BP occurring site | Anti-BP180/BP230 | Serum IgE | BP therapy | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
(46) | 75/F | Plaque psoriasis | ND | Ustekinumab | 225 | 41 | Trunk and extremities | Negative | 1,906 U/ml | Methylprednisolone, clobetasol, dexchlorpheniramine, and zinc sulfate (unresponsive). Thus, dapsone was added. | CR |
(47) | 76/F | Psoriasis | Asthma, osteoporosis, and metabolic syndrome | Ustekinumab | ND | 8 | Trunk, extremities, head and soles | Negative | 1,906 U/ml | Oral corticosteroids | CR |
(48) | 58/M | Psoriasis | Renal failure, hypertension, and hepatosteatosis | Ustekinumab | 90 | 4 | Axillary fossa and inguinal region, trunk and extremities |
ND | ND | Topical mometasone furoate, clobetasol propionate |
CR |
(49) | 58/M | Plaque psoriasis | Type 2 diabetes and thyroidectomy | Ustekinumab | 90 | 4 | Palms, soles, upper trunk and limbs |
ND | ND | Systemic prednisolone and cyclosporine | CR |
(50) | 62/M | Plaque psoriasis | Hypertension and type 2 diabetes | Ustekinumab | 225 | 40 | Upper thighs, lower neck, and upper trunk | ND | ND | Topical corticosteroids | CR |
(51) | 63/M | Psoriatic onycho-pachydermo periostitis, pustular psoriasis | ND | Ustekinumab | 360 | 76 | Trunk and extremities | Anti-BP180: 32.9 U/ml | ND | Oral prednisolone | CR |
(45) | 76/M | Psoriasis | Diabetes mellitus, chronic heart failure, and atrial fibrillation | Guselkumab | ND | 4 | Lower limbs | Positive for both | ND | Oral corticosteroid | CR |
(52) | 65/F | Psoriasis | ND | Secukinumab | 150 | 8 days | Upper limbs and the trunk | Positive but not specific | ND | Topical corticosteroids | CR |
BP, bullous pemphigoid; IL, interleukin; Ref, reference; CR, complete remission; ND, not described; F, female; M, male.